Nurse Practitioner or Physician Assistant - Orthopedic Hospitalist

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

 

About Duke Regional Hospital

 

Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina, which ranks as the number four hospital in the Raleigh-Durham, North Carolina area, accordingto U.S. News and World Report for 2023-2024. Duke Regional Hospital is the second largest of Duke Health's three hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.

 

 

 

Job Location:     Duke Regional Hospital

 

Job Summary

The Nurse Practitioner (NP)/Physician Assistant (PA) hospitalist works collaboratively within a multidisciplinary healthcare team. He or she will be expected to perform various tasks on behalf of the orthopedic service and hospital that are important for safe, efficient, and patient-centered medical care. The NP/PA performs physical exams, collects and documents data, conducts diagnostic and therapeutic procedures, orders and schedules laboratory studies and professional consultations, prescribes appropriate interventions and medications, and provides direct patient care services. He/she will educate patients and their families to improve satisfaction with their hospitalization and to promote wellness, prevent medical problems/complications, facilitate patient services, and intervene as needed in acute and chronic disease processes. 

 

Job Duties and Responsibilities

• In collaboration with attending surgeon(s) and/or residents, round daily on patients to assess, diagnose, plan treatment, set priorities and realistic outcomes, and evaluate the effectiveness and cost efficiency of patient care.
• Provide and coordinate clinical care for service-specific patients through established protocols and under the hospitalist supervising physician or backup physician who is either on-site or available by pager.
• Collaborate with the chief resident, residents, fellows, attendings, other NP/PA colleagues, nurses, and patient resource managers to formulate treatment plans and monitor patient progress.
• Order and interpret appropriate diagnostic and laboratory tests.
• Perform procedures specific to the work environment after demonstrating competency and within the guidelines of the scope of practice and credentialing protocols. Document patient preparation and response to procedure(s).

• Assess patients for change in status and institute appropriate interventions.  Initiate emergency interventions to stabilize the patient until support arrives.
• Postoperative stabilization and management.
• Develop patient care pathways, protocols, and guidelines for the management of specific problems in conjunction with physicians and other members of the health care team.
• Analyze clinical practice patterns to provide the best medical care and to increase effectiveness and efficiency.
• Communicate verbally and in writing all pertinent patient information to the supervising MD, nursing staff, patient resource manager, home health agency, and other relevant healthcare providers.
• Document in the patient’s medical record all relevant data including but not limited to results of diagnostic tests; laboratory results; patients’ condition and response to therapies/interventions; and communications with the supervising MD.
• Utilize prescriptive privileges for identified patient populations.
• Prescriptive authority for prescribing, ordering,